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Director, Contracting & Network Development','1199846','!*!Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.Oversee provider contracting activities ..
Description The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... Charlotte North Carolina Description The Manager, of Behavioral Health Provider Contracting ... Behavioral Health Provider Contracting communicates contract terms, payment..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
Job Information Humana Telephonic Care Manager in Charlotte North Carolina Description ... Carolina Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
... Job Title: Nurse Medical Case Manager Company: Travelers Insurance Category: Claims ... by @TRV_Careers Nurse Medical Case Manager Charlotte, North Carolina Company Summary ... Category Nurse - Medical Case..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Job Information Humana Manager, Credentialing in Charlotte North Carolina ... North Carolina Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... and conducted in accordance with contract requirements. Work..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Charlotte North ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Job Information Humana Manager of Fraud and Abuse Data ... North Carolina Description Responsibilities The Manager of Fraud and Abuse Data ... Program Integrity sections of awarded contract. Referrals must..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Description The Director, Provider Contracting, leads, expands and manages the provider networks for all of Humana's various lines of business through the Provider Development team. The Director also initiates, analyzes, negotiates, ..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern ... North Carolina Description The Director, Contract Tools, Education, Processes manages templates, ... in class knowledge. The Director, Contract Tools,..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... North Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
... analysis of data, and strategic contract performance improvement initiatives. Act as ... of specialty network contracts. Analyze contract performance and provide evaluation on ... Required Qualifications Bachelor's Degree in..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Charlotte North Carolina Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
